ADULT ACNE EXPLAINED
It's not just teenagers who suffer with spots, grown-ups can get them too, writes our Fabulous doctor
While 80 per cent of teenagers develop acne at some point, it's also experienced by an estimated 40 per cent of adults aged 25-40, often with psychological side effects such as anxiety and depression.
So what causes acne? And why do some people get it and not others?
The underlying cause is a build-up of sebum, the oil produced by glands in the skin to lubricate and waterproof it. The hormone testosterone increases sebum production, which then in turn blocks pores and results in spots.
If your testosterone levels are high because you're pregnant, have polycystic ovaries, are on the Pill or just premenstrual, you're more likely to develop acne.
To combat spots, always cleanse your face thoroughly before bed, and avoid using heavy foundations. If you're on the Pill, ask your doctor about switching to Dianette, a brand containing cyproterone acetate, which reduces the effect of testosterone.
Don't squeeze red spots as you'll irritate skin. If spots are yellow, squeeze using a tissue to remove infected dirt, then apply a hot flannel or mild antiseptic.
For recurrent spots, try a benzoyl peroxide preparation from the chemist, but watch out for side effects like redness, dryness and irritation.
Many people wait too long before seeing their GP because they're embarrassed. But antibiotic lotions or tablets, and topical vitamin A cream, can make a huge difference.
For severe acne, your GP may refer you to a dermatologist who can prescribe Roaccutane. Some studies suggest a link between the drug and depression, so it should only be taken under hospital supervision.
CELEB CLINIC
Disney star Miley Cyrus, 16, suffers from tachycardia, a heart condition that causes an abnormally fast heart rate.
"The type of tachycardia I have isn't dangerous," she says. "But there's never a time on stage when I'm not thinking about my heart."
The condition is caused by abnormal fast electrical impulses that arise in the atria (the upper chambers of the heart), overriding the body's natural pacemaker.
Attacks may be triggered by exertion, emotional upset, coffee or alcohol. In many cases, symptoms stop quickly and no treatment is needed.
If symptoms persist or are severe, drugs can be used to block the heart's
excessive electrical impulses.
NEED TO KNOW Should you worry about your body's quirky reflexes?
Frequent yawning: As well as tiredness, it can mean you're too hot or
breathing too shallowly.
Excessive hiccupping: Most likely to be your body's way of saying
you're eating or drinking too much or too fast. If they persist for very
long periods, it could be a sign of growths or heart problems.
Twitchy eyes: Usually caused by tiredness, stress, excessive caffeine,
or staring too long at a computer or TV screen. Unlikely to be anything to
worry about.
Email your health questions to: drhilary@fabulousmag.co.uk
COMPILED BY: LAUREN LIBBERT PHOTOGRAPHY: GETTY IMAGES, PA PHOTOS
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